2d tte w or without fol w/con,co at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,037.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,395.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,188.25 with UPMC Health Plan vs $76,428.24 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | CHIP | $1,188.25 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,256.15 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $1,256.15 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1,256.15 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1,256.15 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1,256.15 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,291.80 | ↓ -37% |
| Aetna of PA | Medicare | $1,306.40 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $1,318.96 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $1,356.64 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,368.16 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $1,381.77 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $1,482.26 | ↓ -27% |
| United Healthcare | Commercial | $1,663.21 | ↓ -18% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,867.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,867.25 | ↓ -8% |
| Horizon Health Plan | Commercial | $2,376.50 | ↑ +17% |
| Cigna | Commercial | $2,376.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $2,546.25 | ↑ +25% |
| InterGroup | Commercial | $2,716.00 | ↑ +33% |
| Health Coalition Partners | PPO | $2,716.00 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,197.08 | ↑ +57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,197.08 | ↑ +57% |
| Focus Healthcare | Disability/PPO/Auto | $3,225.25 | ↑ +58% |
| Highmark BCBS of PA | Managed Care | $3,916.05 | ↑ +92% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,916.05 | ↑ +92% |
| Cigna | Medicare | $76,428.24 | ↑ +3652% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,441.20 | $315.29 – $1,921.60 |
| UPMC East | Monroeville | $2,434.80 | $318.29 – $3,246.40 |
| UPMC Hamot | Erie | $811.20 | $305.54 – $1,010.76 |
| UPMC Northwest | Seneca | $2,071.20 | $683.10 – $813.49 |
| UPMC Horizon-Greenville | Greenville | $957.60 | $674.37 – $813.49 |
| UPMC Jameson | New Castle | $957.60 | $320.85 – $941.54 |
| UPMC Magee | Pittsburgh | $942.00 | $318.29 – $828.55 |
| UPMC McKeesport | Mckeesport | $1,085.40 | $318.29 – $828.55 |